Job Description

Job Description

Description
Physician Assistant (PA-C) Surgical 1st Assist - Heart Transplant Institute - AdventHealth Orlando

Location Address: 601 E. Rollins St., Orlando, FL 32801

Top Reasons to work at AdventHealth Transplant Institute - Orlando

On the AH Orlando campus, AdventHealth Transplant Institutes Heart and Lung Transplant Program is seeking an experienced cardiothoracic surgical PA to join our growing & thriving practice. Our service currently consists of 5 surgeons and 2 Surgical Pas working collaboratively with the Cardiology and Critical Care Medical teams. We perform the full spectrum of advanced heart failure surgical therapies as well as core cardiothoracic procedures. The selected candidate will regularly be performing CABG, valve surgery, thoracic aortic work, Ventricular Assist Device, heart and lung transplant, ECMO insertion and management, and total artificial heart implantation. We are a busy practice having performed 16 lung transplants, 58 heart transplants, 68 VAD implants, and 126 ECMO runs in 2018. Our surgeon team consists of Dr. Duane Davis, who was past president of ISHLT; Dr. Scott Silvestry, who currently educates other surgeons on VAD implant techniques for the industry; and Dr. Don Botta, Transplant and VAD Surgical Director. AdventHealth, a 2,247-bed acute-care medical facility, is a member of Adventist Health System. We serve as a community hospital for Greater Orlando and as a major tertiary referral hospital for Central Florida and much of the Southeast, the Caribbean and Latin America. Adventist Health System operates 44 hospitals in ten states making it the largest not-for-profit protestant health care system in the United States. Our annual statistics include:

Treats more patients than any other hospital in the US

Serves more patients each year than any hospital in Florida

Number of inpatients: 122,729

Number of licensed beds: 2,675

Number of critical care beds (Includes ICU, CCU, CVICU, PCU, PICU, NICU): 1,329

Work Hours/Shift:

Full Time, Days

You Will Be Responsible For:

* The Physician Assistant (PA) supports the clinical operation of AdventHealth Transplant Institute with primary focus on clinical services in the inpatient and outpatient setting. Inpatient Responsibilities include: Pre-operative admission, consultation, evaluation and medical optimization; Intra-Operative 1st and 2nd assistance; Post-operative ICU and floor patient care and discharge. Outpatient Responsibilities include: Pre & Post Operative clinic; Out-Of-Hospital patient clinical phone call management & Out-Of-Hospital operative call-in. Delivery of patient care will be conducted in collaboration with faculty surgeons and physicians.

Basic PA function includes, but is not limited to: Conduct of relevant health & medical history; Performance of physical examination; Collection, interpretation & recording of clinical data; Ordering/specimen collection for/interpretation of all relevant laboratory/microbiological tests; Ordering/interpretation of all relevant radiologic/US/MRI/NM studies; Ordering/performance of/interpretation of cardiac diagnostic testing; Development of treatment plans, Ordering medications; Address the pharmacologic needs of patients by CPOE/written/oral methods; Dispense & Administration of medications; Activity level designation; Performance of rounds and recording of computerized progress/consult/procedure notes; Participation in clinical & multidisciplinary rounds; Admission of patients at the direction of the supervising physician; Obtainment of informed consent for procedures performed by the physician assistant; Consultation/Referral to other health professionals & community agencies; Provide relevant patient education and counseling regarding heath status, test results, disease process and discharge planning; Perform any other clinical responsibility within the physician assistants level of training and scope of practice; Assist the collaborating physician in any intervention in the interest of patient care/safety.

Qualifications
EDUCATION AND EXPERIENCE REQUIRED:

* Graduate of a physician assistant program approved by the Accreditation Review Commission on Education for the Physician Assistant (ARC-PA)
* Minimum of two years post-graduation clinical experience or one-year post-graduate surgical residency training experience
* Minimum of one year of cardiothoracic specialty specific experience
* Pre-Operative, Intra-Operative, Post-operative Surgical patient care experience
* Critical care experience

LICENSURE, CERTIFICATION, OR REGISTRATION REQUIRED:

* State of Florida physician assistance license
* National Commission Certification of Physician Assistant (NCCPA) Certification
* Health Care Provider BLS(CPR)
* ACLS

KNOWLEDGE AND SKILLS REQUIRED:

* Cardiothoracic anatomic and patho-physiologic knowledge
* Cardiothoracic & critical care clinical management knowledge, with sound clinical judgement, decision-making and problem-solving skills
* Ability to self-direct and work without direct supervision
* Conduit Vein harvesting open/endoscopic
* Conduit Arterial harvesting open
* Surgical 1st assistance training & Proficiency
* Bedside cardiothoracic surgical procedural skills
* Central Venous Line Access, Arterial line placement, PA catheter placement, Open tube thoracostomy
* Inpatient surgical service cooperative participation skills
* Strong interpersonal and written & verbal communication skills. Ability to maintain effective relationships/flexibility with patients, families & all multidisciplinary team members
* Computer skills & ability to work effectively across multiple electronic medical record platforms (MS Office Platform)
* Ability to work in a high-stress environment with effective time-management skills and adaptability to change

LICENSURE, CERTIFICATION OR REGISTRATION PREFERRED:

* Cardiothoracic Surgery Certificate of Added Qualification (CTS CAQ)
* Fellow of the Association of Physician Assistants in Cardiovascular Surgery (FAPACVS)
* Cardiac Surgical Unit Advanced Life Support Certification (CSU ALS)
* Certified Clinical Transplant Coordinator (CCTC) by the American Board of Transplant Certification (ABTC)
*
KNOWLEDGE & SKILLS PREFERRED:

* Invasive bedside procedures
* Robotic surgical training
* Bilingual, particularly Spanish

Job Summary:

* Participation in daily inpatient rounding by taking patient history, conducting physical exam, reviewing laboratory and diagnostic data, performing medication reconciliation, procedures, and computer order entry as appropriate.
* Inpatient consultation and admission at the direction of the collaborating physician.
* Documentation of all patient encounters by computerized progress notes, brief operative note, procedural notes or admission/consultation/discharge summary dictation
* Pre-operative patient evaluation and medical optimization
* Evaluates and treats patients with acute, chronic, and surgical concerns which include the following:
* Admission/consultation of patients at the direction of the collaborating physician
* Conduct medical history; performance of physical examination; Collection, interpretation & recording of diagnostic clinical laboratory data; Ordering, specimen collection & interpretation of all relevant laboratory/microbiological tests; Ordering & interpretation of all relevant radiologic/US/MRI/NM studies; Ordering, performance & interrelation of cardiac diagnostic testing
* Diagnosis of acute and chronic conditions affecting all organs systems
* Development of treatment plans; Ordering medications; Address the pharmacologic needs of patients by CPOE/written/oral methods; Dispense & Administration of medications; Performance medication reconciliation; Formulating interventions and performing therapeutic measures to ensure the appropriate individualized plan of care is implemented. Applying knowledge of age-specific needs, (pediatric, adolescents, adult and geriatric) to plan of care interventions and patients responses to care; Activity & diet level designation; Ordering/renewal of restraints
* Performance of rounds & recording of computerized written and/or dictated documentation of all patient encounters by computerized progress notes, brief operative note, procedural notes or admission/consultation/discharge summary dictation
* Pre-operative patient evaluation and medical optimization
* Post-operative patient ICU and floor management
* Perform any other clinical responsibility within the PAs level of training and scope of practice; Assist the collaborating physician in any intervention in the interest of patient care/safety.
* Functions fully within the Outpatient and Inpatient settings
* Providing on-call coverage for medical triage for outpatients in collaboration with the physician on-call.
* Perform First/Second Surgical Assist duties within the OR setting and/or at bedside as program and surgeon direct which may include but is not limited to:
* First & 2nd Operative assistant on cardiothoracic surgical and transplant patients
* Assist with Heart Transplantation, Lung Transplantation & Ventricular Assist Device surgeries
* Assist with Cardiothoracic Surgery including CABG, Valve Repair and Replacement, Aortic Procedures, Thoracotomy, Lung Resections, and Central/Peripheral Vascular repair.
* Conduit Harvest, including greater and lesser saphenous veins and radial artery
* Sternotomy & Sternal closure
* ECMO initiation/weaning and cannulation/decannulation techniques
* Obtainment of informed consent for procedures performed by the PA
* Insertion of percutaneous/open chest tubes, Arterial lines & femoral/axillary IABP, Fem/SC/IJ Central venous access, PA Catheter placement, Transvenous pacer wires, and dialysis catheters
* Documenting, coding and completing diagnosis of patients condition to facilitate appropriate insurance reimbursement.
* Post-operative patient ICU and floor management
* Call requirements will be rotational to include a 24-hour/7-day coverage system. Out-Of-House SICU & Floor call responsibilities, Donor call organ assessment & OR call responsibilities
* Attends and participates in transplant team meetings including Patient Review Committee, hospital interdisciplinary rounds, discharge planning and QAPI. Communicates with the transplant team in a professional and effective manner. Participation in database & clinical research
* Participation in clinical research & Actively participates in regulatory-related data collection and surveys agencies including but not limited to:
* Oversight and participation of regulated data reporting for regulatory agencies i.e. DNV, United Network for Organ Sharing (UNOS), Centers for Medicare and Medicaid Services (CMS), and Interagency Registry for Mechanically Assisted Circulatory Support (INTRAMACS).
* Maintaining a current understanding of changes in respect to accrediting bodies
* Participating in preparation for regulatory surveys, such as UNOS, Medicare, and DNV
* Serving as an expert resource and point-of-contact on clinical and protocol-related issues
* Participating in the preparation of action plans in response to recommendations for improvement and deficiencies identified by regulatory agencies
* Participating in mock surveys and self-assessments, focusing on continual readiness
* Providing in-service and continuing education for staff within the scope of the Transplant Program

This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances.